The URL can be used to link to this page

Home My WebLink AboutPermit M08-206 - BLAKE ADDITIONBLAKE ADDITION 4214 S 122 ST M08 -206 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: 3347400370 4214 S 122 ST TUKW BLAKE ADDITION 4214 S 122 ST , TUKWILA WA BLAKE SALLEY H 810 NM ST, TACOMA WA DAN KOCH 425 S 19 ST , RENTON WA Contractor: Name: OWNER AFFIDAVIT - SALLY BLAKE Address: 4214 S 122 ST , TUKWILA WA Contractor License No: Value of Mechanical: $1,100.00 Type of Fire Protection: Furnace: <100K BTU >100K BTU Floor Furnace Suspended/Wall/Floor Mounted Heater Appliance Vent Repair or Addition to Heat /Refrig /Cooling System.... Air Handling Unit <10,000 CFM >10,000 CFM Evaporator Cooler Ventilation Fan connected to single duct Ventilation System Hood and Duct Incinerator: Domestic Commercial/Industrial doc: IMC -10/06 CRAM' Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us MECHANICAL PERMIT DESCRIPTION OF WORK: ADD HEAT DUCT TO ADDITION, 3 BATH FANS AND DUCTS, KITCHEN HOOD EQUIPMENT TYPE AND QUANTITY 0 0 0 0 0 1 0 0 0 3 0 1 0 0 * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 425 - 228 -8735 Phone: M08 -206 08/20/2008 02/16/2009 Fees Collected: $193.88 International Mechanical Code Edition: 2006 Boiler Compressor: 0 -3 HP /100,000 BTU 0 3 -15 HP /500,000 BTU 0 15 -30 HP /1,000,000 BTU.. 0 30 -50 HP /1,750,000 BTU.. 0 50+ HP/1,750,000 BTU 0 Fire Damper 0 Diffuser 0 Thermostat 0 Wood/Gas Stove 0 Water Heater 0 Emergency Generator 0 Other Mechanical Equipment M08 -206 Printed: 08 -20 -2008 Permit Center Authorized Signature: I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this w will be complied with, whether specified herein or not. Print Name: doc: IMC-10/06 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206- 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Permit Number: M08 -206 Issue Date: 08/20/2008 Permit Expires On: 02/16/2009 Date: V a)-0- The grantin ; of his permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction - the perf% of or am . uth • ed to sign and obtain this mechanical permit. Signature? .�C />t?i / ` Date: 4■ This permit shall become ( ull and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. M08 -206 Printed: 08 -20 -2008 Parcel No.: 3347400370 Address: 4214 S 122 ST TUKW Suite No: Tenant: BLAKE ADDITION 1: ** *BUILDING DEPARTMENT CONDPI'IONS * ** City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: M08 - 206 Status: ISSUED Applied Date: 08/13/2008 Issue Date: 08/20/2008 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All mechanical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center (206/431- 3670). 4: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 5: All construction shall be done in conformance with the approved plans and the requirements of the International Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code. 6: Manufacturers installation instructions shall be available on the job site at the time of inspection. 7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206- 431 - 3670). 8: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 9: All plumbing and gas piping work shall be inspected and approved under a separate permit issued by the Cityof Tukwila Permit Center. doc: Cond - 10/06 * *continued on next page ** M08 -206 Printed: 08 -20 -2008 The granting construction doc: Cond -10/06 0 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. ermit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating erformance of work. 0 Signature: !I.��I! • t��' �� Date: v C7� O M08 -206 Printed: 08 -20 -2008 Site Address: Tenant Name: 54 810 K . Property Owners Name: 0 ' (' r!� Mailing Address: 'Z Se l 2 Z. Name: Mailing Address: E -Mail Address: Company Name: Mailing Address: Company Name: Mailing Address: Contact Persorr� E -Mail Address: Company Name: Mailing Address: Contact Person: E -Mail Address: CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us D el / MECHANICAL PERMIT APPLICATION ialci 5., /z 2 `f25 56 l � /6-t(41 so l2 L Q:\Applications\Porms- Applications On Linel3 -2006 - Mechanical Permit Application.doc Revised: 4 -2006 bh For nice use. only) Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** King Co Assessor's Tax No.: 3 r3 0 - a 3Z 0 City Suite Number: New Tenant: D .... Yes ..No State Floor: Zip Day Telephone: 42-f -6? 5 ��o City State Zip Fax Number: City State Zip Contact Person: DAN I<-- o c '( Day Telephone: 4Z-5 Si 0l3e 87 3 S — E-Mail Address: Fax Number: 7`" Z o 77-- Sif 4 Contractor Registration Number: Expiration Date: city Day Telephone: Fax Number: State State Zip city Day Telephone: Fax Number: Zip Page 1 of 2 Unit Type: Qty Unit Type: Qty Unit Type: Qty Boiler /Compressor: Qty Furnace <100K BTU Air Handling Unit >10,000 CFM Fire Damper 0 -3 HP /100,000 BTU Furnace >100K BTU Evaporator Cooler Diffuser 3 -15 HP /500,000 BTU Floor Furnace ;' ° i Ventilation Fan Connected to Single Duct 4, Thermostat 15 -30 HP /1,000,000 BTU Suspended/Wall/Floor Mounted Heater Ventilation System Wood /Gas Stove 30 -50 HP /1,750,000 BTU Appliance Vent 4 0 — Hood and Duct / Water Heater 50+ HP /1,750,000 BTU Repair or Addition to Heat/Refrig/Cooling System i l Incinerator - Domestic Emergency Generator Air Handling Unit <10,000 CFM Incinerator — Comm/Ind Other Mechanical Equipment Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): q 0/) ¢ /�- r 4 /),2 ru20,2 -e / Use: Residential: New ...Alf Replacement .... Commercial: New .... Replacement .... Fuel Type: Electric 0 Gas ..20 Indicate type of mechanical work being installed and the quantity below: Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). I HEREBY CE FY T T I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF ' RJURYI' THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING O NER OR AUTI URIZED AGENT: Signature: Print Name: 34AJ Mailing Address: -92 Date Application Expires: f N I Date Application Accepted: g k _0 [} rs Q:\Applications\Fotms- Applications On Line \3 -2006 - Mechanical Permit Application.doc Revised: 4 -2006 bh Other: A Date: Staff Initials: A Day Telephone: City State Zip Page 2 of 2 Parcel No.: 3347400370 Address: 4214 S 122 ST TUKW Suite No: Applicant: BLAKE ADDITION Receipt No.: R08 -03002 Payment Amount: $155.10 Initials: WER Payment Date: 08/20/2008 09:04 AM User ID: 1655 Balance: $0.00 Payee: SALLY BLAKE TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8246 155.10 ACCOUNT ITEM LIST: Description MECHANICAL - RES City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Account Code Current Pmts 000.322.102.00.0 155.10 Total: $155.10 Permit Number: M08 -206 Status: APPROVED Applied Date: 08/13/2008 Issue Date: 6375 08/20 9710 TOTAL 155.10 doc: Receiot -06 Printed: 08 -20 -2008 Parcel No.: 3347400370 Address: 4214 S 122 ST TUKW Suite No: Applicant: BLAKE ADDITION Receipt No.: R08 -02928 Initials: WER Payment Date: 08/13/2008 03:04 PM User ID: 1655 Balance: $155.10 Payee: DANSCO CONSTRUCTION TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7625 38.78 ACCOUNT ITEM LIST: Description PLAN CHECK - RES City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www. ci. tukwila. wa. us RECEIPT Account Code Current Pmts 000/345.830 38.78 Total: $38.78 Permit Number: M08 -206 Status: PENDING Applied Date: 08/13/2008 Issue Date: Payment Amount: $38.78 6058 08/13 9710 TOTAL 38.78 doc: Receipt -06 Printed: 08-13 -2008 Project: Type of Inspection: Address: s 7Z� Date Called: Special Instructions: Date Wanted: ,tom /Z''Ft flu p.m. Requester: Phone No: .17.3` - 22-X -735' INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: pe...rA4 a r Inspect ‘, !Date: 2 oef ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 1Date: Proje ct: �p, d.,;r' V . 1 '..Pe - 9cJ` • L Type of Inspect' n: V • 2)uvk Address: , 4Z I I fa A /22— Date Called: ,'' Special Instructions: / Date Wanted: ! ' ) • t.J r .a.m:. p.m. Requester: Phone No: macsc_26d INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERNO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspec `Date: I -11 Al 4/1 El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: COMMENTS: � tic t I( C ( )c. Ar d L, AS A- i A.o / A J e ,. . 4 13 J eVit,4 / / _ S ,a ,) / r , < ki CJ et A ,. /P-- i n Date Wanted: Z , c.a •x...6 K M. Al es 1 Phone No: _ s- n ProjeW 1 �� ( � tic t Type ofl�nspectio 1 .., 4 ,� C {tea' ` /C �- Address: 1 1-17 1 Date Called: / • Spe ial Ins ct'ons: Date Wanted: Z , / '�'m Requester: Phone No: S. 4k7■ INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 e a Approved per applicable codes. INSPECTION RECORD Retain a copy with permit Alt Ns' r PERMIT NO. (206)431 -367 Corrections required prior to approval. (Date: - 2 Z El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Project: $ Azi el \ 4 Type of Inspec on: Address: 7 ` 7 -1 1 S ' /1 7' �y - 3 t i Date Called: �. Special Instructions: Date Wanted: Z or ire Requester: Phone No: PET NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3f;j7 INSPECTIO NO. El Approved per applicable codes. INSPECTION RECORD Retain a copy with permit orrections required prior to approval. LJ $60:00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. COMMENTS: - v e - r CP 6..9 Al u5 Inspec 6r: Date: z Receipt No.: t. Date: PERMIT CORD COPY • PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M08 -206 PROJECT NAME: BLAKE ADDITION SITE ADDRESS: 4214 S 122 ST X Original Plan Submittal Response to Correction Letter # DATE: 08 -13 -08 Response to Incomplete Letter # Revision # After Permit Issued DEPART ENTS: � e Bui d / g ' !vision i Public Works Documents/routing slip.doc 2 -28 -02 APPROVALS OR CORRECTIONS: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: Fire Prevention DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete 1 " 1 Incomplete n Comments: Structural ❑ Permit Coordinator Permit Center Use Only • _ -'; i:...•: rs • INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS RO TING: Please Route Structural Review Required REVIEWER'S INITIALS: DATE: DATE: Planning Division DUE DATE: 08 -14 -08 Not Applicable ❑ No further Review Required 1 1 DUE DATE: 09 -11 -08 Not Approved (attach comments) ❑ PermitCenter Use Orily ' CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: 0 CITY OF TUKWILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -367o FAX (206) 431 -3665 E -mail: tukplanaci.tukwila.wa.us AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION PERMIT NO: Hoe- 2O (p STATE OF WASHINGTON) ss. COUNTY OF KING ) SQ/(c 4. Blame [please print] 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under No. / � and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights tha decision to engage an unregistered contractor to pe , states as follows: Owner /O Residing at ight otherwise have under s . e law in any constructio s.wor is Agent Signed and sworn to before me this NOTARY PUBLIC in and for the State of Washington , County Name as commissioned: ' 1 „Oroa_ Permit Center /Building Division 206 431 -3670 Public Works Department 206 433 - 0179 Planning Division 206 431 -3670 My commission expires: ) l' ( 9 � 4 ( 1. An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor, 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor; 10. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry 18.27.090 Exemptions, The registration provisions of this chapter do not apply to: raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11. An owner who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for less than twelve months; 12. Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile /manufactured home dealer or manufacturer who subcontracts the installation, set -up, or repair work to actively registered contractors. This exemption only applies to the installation, set -up, or repair of the mobile /manufaftu;ed homes that were manufactured or sold by mobile' / manufactured home dealer or manufacturer; 18. An entity who holdsla valid electrical,contractor's license under chapter 0.28 RCW that employs a certified journeyman electrician, a certifiectresidential specialty electrician, or an electrical trainee meeting the requirements of chapteir 19.28 RCW to:perform plumbing work that is incidentally,,, directly, and immediately appropriate to the.like -in -kind replacement of a household appliance or other small household utilization equipment that requires limited electric power and limited waste and /or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work.